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Early data of California’s CalAIM benefits show improvements in stabilization

| Jan 10, 2023 | California

California Advancing and Innovating Medi-Cal (CalAIM), a long-term commitment to transform and strengthen Medi-Cal, has seen promising data results for its Enhanced Care Management (ECM) and Community Supports (CS) benefits. Early DHCS data shows that initial enrollment in ECM and CS were primarily from members who were transitioning from the...[ Read More ]

California’s Cal MediConnect transitions to Medicare Medi-Cal Plans

| Jan 6, 2023 | California

On January 1st, California’s Cal MediConnect plans for dually eligible individuals transitioned to newly created Medicare Medi-Cal Plans. Known as Medi-Medi Plans or MMPs, these plans are provided by the same insurance carriers as Cal Medi-Connect and offer the same healthcare benefits. The matching plans are designed to coordinate care...[ Read More ]

California announces new contracts for Medi-Cal in 2024 following lawsuits

| Jan 4, 2023 | California

California’s Department of Health Care Services (DHCS) was joined by five commercial managed care plans (MCPs) on December 30th to announce new contract agreements concerning the provision of Medi-Cal managed care. The new contracts start in January of 2024 and will span across 21 counties.  DHCS experienced backlash from several...[ Read More ]

CalAIM Population Health Management program to launch in January 2023, will focus on improving data collection and bolstering community engagement

| Nov 29, 2022 | California

CalAIM’s Population Health Management (PHM) program is slated to launch in January 2023. The Department of Health Care Services (DHCS) says the program will be a statewide approach that ensures Medi-Cal members lead “longer, healthier, and happier lives, improved health outcomes, and health equity.”     The PHM program will...[ Read More ]

With selection of vendor, DHCS is slated to launch CalAIM Recovery Incentives Program within next 2 months

| Nov 17, 2022 | California

On Nov. 3rd, the California Department of Health Care Services (DHCS) announced Pear Therapeutics, Inc. will be the incentive manager vendor for the California Advancing and Innovating Medi-Cal (CalAIM) contingency management benefit, or the Recovery Incentives Program.     Through the program, eligible Medi-Cal beneficiaries struggling with stimulant use will...[ Read More ]

Health plans continue opposition against DHCS's 2024 Medi-Cal managed care contract awards

| Oct 18, 2022 | California

Health plans, including Blue Shield of California, Health Net, and Community Health Group Partnership Plan, have filed lawsuits against the California Department of Health Care Services (DHCS) following the first ever statewide competitive procurement for commercial Medi-Cal managed care plans for the 2024 Medi-Cal contract awards.     Through this...[ Read More ]